How To Use HCPCS Code E0973

HCPCS code E0973 describes a wheelchair accessory that consists of an adjustable height, detachable armrest. This complete assembly is used to enhance the functionality and comfort of a wheelchair for individuals with mobility impairments. In this article, we will explore the details of HCPCS code E0973, including its official description, procedure, usage guidelines, billing requirements, historical information, and coverage by Medicare and other insurance providers.

1. What is HCPCS E0973?

HCPCS code E0973 is used to identify a specific wheelchair accessory. It refers to an adjustable height, detachable armrest that is designed to be used with a wheelchair. This accessory can be attached or detached as needed, providing flexibility and customization for the user. It is important to note that this code specifically refers to the complete assembly of the armrest, not individual components.

2. Official Description

The official description of HCPCS code E0973 is “Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each.” This description accurately reflects the nature of the accessory and its purpose in enhancing the functionality of a wheelchair. The short description for this code is “Parenteral supp not othrws c,” which may seem unrelated but is a result of the historical context of the code.

3. Procedure

1. Ensure that the wheelchair is compatible with the adjustable height, detachable armrest accessory.
2. Attach the armrest assembly to the wheelchair according to the manufacturer’s instructions.
3. Adjust the height of the armrest to the desired position, taking into consideration the user’s comfort and support needs.
4. Securely lock the armrest in place to prevent any accidental movement or detachment.
5. Verify that the armrest is functioning properly and provides the necessary support for the user.

4. When to use HCPCS code E0973

HCPCS code E0973 should be used when a healthcare provider or supplier furnishes a wheelchair accessory that meets the specifications of an adjustable height, detachable armrest. This code is applicable when the complete assembly of the armrest is provided to the patient. It is important to ensure that the accessory meets the specific requirements outlined in the code description to accurately report and bill for the service.

5. Billing Guidelines and Documentation Requirements

When billing for HCPCS code E0973, healthcare providers need to document the provision of the wheelchair accessory, including the make and model of the wheelchair, the specific armrest assembly provided, and any relevant patient information. It is essential to maintain accurate and detailed records to support the medical necessity and appropriateness of the accessory. Additionally, providers should follow the billing guidelines set forth by Medicare and other insurance carriers to ensure proper reimbursement.

6. Historical Information and Code Maintenance

HCPCS code E0973 was added to the Healthcare Common Procedure Coding System on January 01, 1985. It has an effective date of January 01, 1996, indicating that it has been in use for a considerable period. The code has an action code of N, which means no maintenance has been performed on it. This suggests that there have been no updates or revisions to the code since its addition to the system.

7. Medicare and Insurance Coverage

HCPCS code E0973 is eligible for coverage by Medicare and other insurance providers. The pricing indicator code for this code is 57, which indicates that it is priced by other carriers. The multiple pricing indicator code is A, indicating that it is not applicable as HCPCS priced under one methodology. Providers should refer to the Medicare Carriers Manual Reference Section Number 2130 for specific guidance on coverage and reimbursement for this code.

8. Examples

Here are five examples of scenarios where HCPCS code E0973 would be appropriate:

1. A patient with a mobility impairment requires an adjustable height, detachable armrest for their wheelchair to provide better support and comfort.
2. A healthcare provider supplies a complete assembly of an adjustable height, detachable armrest to a patient who recently acquired a wheelchair.
3. An individual with a disability needs a wheelchair accessory that allows them to adjust the height of the armrest to accommodate their specific needs.
4. A wheelchair user experiences discomfort and requires a detachable armrest assembly that can be adjusted to alleviate pressure points.
5. A healthcare facility provides a wheelchair accessory with an adjustable height, detachable armrest to a patient as part of their post-operative care plan.